Chronic Ankle Instability Canberra.
Structured exercise physiology for chronic ankle instability (cai). Evidence-based protocols, objective return-to-sport testing, and 1:1 sessions with James Murphy AEP.
- Chronic Ankle Instability (CAI)
- Progressive loading protocols
- Objective return-to-sport testing
- NDIS, DVA, Medicare & WC
Chronic Ankle Instability (CAI).
Chronic ankle instability (CAI) follows recurrent ankle sprains where neuromuscular control hasn't been adequately restored. An 8–12 week structured program combining balance, strength, proprioception, and sport-specific drills significantly reduces re-sprain risk. CAI is very treatable, even years after the original injury.
What the evidence says.
Chronic ankle instability, the ankle that rolls over nothing, is what untreated sprains grow into. The research shows measurable deficits in balance, peroneal reaction time and hip control that persist for years, and, encouragingly, that structured balance and strength training reverses most of them. Surgery exists for true mechanical instability, but the majority of unstable ankles are a training problem with a training solution.
How I treat it.
We test what your ankle actually does under challenge: single leg balance, hop tests, strength through the calf and peroneals, and how your hip controls the leg above it, because unstable ankles often live under lazy hips. Then a progressive program that makes balance reflexive again and strength protective, through to landing, cutting and sport specific demands.
Joint mobility work, including the talus and midfoot stiffness that accumulates after years of sprains, is handled hands on in the same sessions.
What we aim for.
- An ankle that stops rolling, on trails, courts and kerbs
- Balance and hop testing at or above the other side
- Confidence restored: no more scanning the ground as you walk
- Surgery reserved for the few who truly need it
Frequently asked
Related pages
Recent literature behind this program.
A selection of the research and clinical guidelines that inform how this condition is managed at Fitness & Wellbeing Physiology.
- Gribble PA, Bleakley CM, Caulfield BM, et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. British Journal of Sports Medicine 2016;50:1496–1505.
- Vuurberg G, Hoorntje A, Wink LM, et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British Journal of Sports Medicine 2018;52:956.
Evidence summaries are provided for information only and are not a substitute for individual clinical assessment.
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